I decided to have the surgery two years ago and after two years my PSA came back up (0.18). I am 52 and I recovered well in almost every way from the surgery. Very minor leakage issues. Recurrence was always a possibility because the tumor had started to escape the capsule. I started radiation today. I still think I made the proper decision first. Surgery after radiation doesn’t seem as good an option. I am truly grateful for your book being out there.

I just had a RP 2 months ago. PSA tested yesterday is 0.03
Doctor said he would test it again in 6 weeks.
Said that because my cancer was on the margin and not encapsulated, there is a chance prostate cell may have remained and PSA may creep up again in which case I would need radiation.
What PSA level becomes worrying? Should it be 0.0000?
I am continent expect for a couple of drops every week or more.
Haven’t tried any sexual activity – worried about pain and urine leakage during intercourse.
Should I worry about radiation should I need one?
Thanks
Ayman

The lowest number following RP using the ultra sensitive PSA is .015. I have had patients who had a slightly higher number but then it stayed stable for years. So hopefully your low number is the .03. Your next PSA will help determine that. I’d proceed with sex, I bet your wife will be very understanding about potential urine loss-urine is sterile by the way. Finally if it does come to needing radiation therapy, it is much easier to tolerate without a prostate. I wish you well. JM

Thanks a lot John. Since the radiation in my case, should I need one, would be a lot less then in the case of it being the main treatment, would there be side effects on continence and erectile function?

Hi John,
Sorry I couldn’t find an answer for this or where to post the question, so I’m asking it here.
Following my RP, I had a lymphocele that developed into a major infection. Luckily, it was dealt with just in time – full anesthesia and lots of liquid sucked out, then 2 weeks in hospital with catether till liquid dropped down to 0 ml in 24 hrs.
I was sent home, went back for pelvic sonography 10 days later that confirmed no more accumulation of lymphatic liquid.
My doctor had said that once out it’s out, with a 5% chance of recurrence. Is it fair to assume it’s over now?
My first doctor had suggested I go for lymphatic massage. My second doctor said it was the worst thing to do, and I think I am sticking to the 2nd advice.
Thanks
Ayman